Auto chess in the operating room

Chapter 107 Sudden accident, where's the appendix?

On the second day, the laparoscopic cholecystectomy was performed. Tang Lou made sufficient preparations and naturally completed Yisuke's work perfectly.

Compared with Ma En's mirror-holding technique, what Tang Lou did made the chief surgeon very comfortable. He didn't have to worry about the shaking of the surgical field at all, and he didn't have to distract his mind to remind the assistant to switch the camera.

The chief surgeon and Yisuke are like a director and cameraman. After two cooperations, Qingping has become inseparable.

Inside Cheng Jian's office.

Qingping made coffee for Cheng Jian, and reported in a very pleasant surprise: "Director Cheng, your old eyesight is really good. This Tang Lou is really talented. I have done so many operations and have cooperated with him. A lot of help, but Tang Lou's mirror holding technology is really the best I have ever encountered, it is so worry-free and comfortable."

Cheng Jian was looking at a case at the table, holding a pen, writing and drawing: "Isn't our doctor Qingda who claims to be the best in general surgery mirror holding technology, and no one looks down on him, and there is someone who can convince you?"

Qingping brought a cup of fragrant coffee to Cheng Jian, and sat opposite him.

Interlocking fingers, put them on the table, leaned forward and said: "Director Cheng, don't believe me. If you see it with your own eyes, you will be convinced. This little guy can use his brain, and many steps are pre-planned by the surgeon. Judgment, sometimes, I have a feeling of being guided."

"As for it, this is all a boast to you."

Cheng Jian picked up the coffee and took a sip, pretending to be nonchalant on his face, but flattered in his heart, the more powerful Tang Lou is, the more discerning he is of course.

"To be honest, I think Tang Lou already has the ability to initially try laparoscopic appendectomy."

Qing Ping also had to think carefully. Tang Lou was able to make the supporting mirror so well. He was obviously familiar with laparoscopic technique and had a solid foundation of Maxwell's incision method.

Cheng Jian didn't speak. He took a small spoon and stirred it in the coffee cup. It clanged for a long time, "Isn't it too fast?"

"Director Cheng is afraid that other colleagues will have ideas?"

Qingping is a technical talent, and he is not very good at people's hearts in the workplace, which is why he came to Cheng Jian to discuss.

"That's right. After all, Tang Lou's qualifications are too low. Trying laparoscopic appendectomy as the main surgeon so soon will make people gossip. What I mean is to wait for a while. After further investigation and investigation, the rest of the colleagues will also be mentally prepared."

Cheng Jian took another sip of coffee.

Qingping thought for a while: "Okay, then let him do it for a while longer, but he can continue to be the chief surgeon and continue to accumulate experience in the Mai's incision appendicitis surgery."

"By the way, when was Tang Lou's latest operation? Since you highly recommend it, I'll go and see it too."

Qingping recalled: "Originally, there was no arrangement for these few days, but there was a laparoscopic appendix operation at Ma En's side. The original first assistant, Wang Daquan, was not feeling well, so Tang Lou first assistant was arranged. It should be tomorrow."

"Okay, then I'll go and have a look, this brat, is he really as good as you say?"

"You won't be disappointed."

Qingping bothered a few more words, and left the director's office.

On the other end, Ma En and Wang Daquan also secretly discussed in a cafe outside the courtyard.

"The operation time has been set, it will be tomorrow afternoon, and you should ask for leave tomorrow and don't come to the hospital."

Ma En looked at Wang Daquan on the opposite side.

"Well, are you all ready?"

Wang Daquan asked with some concern, after all, tomorrow is about whether or not he can kill Tang Lou.

"Don't worry, I have prepared a lot of difficult questions."

"But don't be too deliberate, it will be bad if Doctor Qing notices."

Wang Daquan reminded with some worries, after all, what he did should not be too conspicuous, and it is the most wonderful thing to live in the tenement building naturally.

"I understand. For these difficult questions, I also screened the patients. Take a look."

Ma En directly showed Wang Daquan the previously selected patient information:
"A 43-year-old female patient was admitted to the hospital mainly because of pain in the right lower abdomen that aggravated for 2 hours in 5 days. She was diagnosed with appendicitis in our hospital two days ago, but she was not hospitalized. The anti-inflammatory treatment outside the hospital did not work well. She felt full abdominal pain suddenly and went to our department. Examination of the whole abdomen tenderness, obvious pain in the lower right quadrant, suspected appendix perforation, diffuse peritonitis with enteritis congestion"

After Wang Daquan read it, his scalp also felt numb. If the appendix is ​​perforated, the difficulty of holding the mirror will definitely increase, but the difficulty of the same operation will also increase.

"Doctor Ma, everything else is fine, but this patient's symptoms are a bit severe. Laparoscopic surgery, don't wait until that time, Tang Lou will be in trouble, and you can't handle it yourself."

Wang Daquan is very cautious in doing things, and naturally he is very comprehensive.

"Don't worry, although I haven't performed a few laparoscopic surgeries, the number of McBurney's incision surgeries is no less than a hundred. As long as it is not a rare and weird patient, it can still be done."

Ma En didn't care about Wang Daquan's worries.

After all, he has been a resident doctor for many years. In terms of experience and surgical skills, if he can't hold down even a tenement house, then he really doesn't have to mess around.

While the two were discussing, Ma En's phone rang, and seeing that it was Qingping, Ma En quickly picked it up.

One minute later, Ma En put down the phone with joy on his face.

"What's wrong?" Wang Daquan asked.

"It's really God helping me. Doctor Qing told me just now that Director Cheng will also watch tomorrow's operation."

"Really! That would be wonderful."

After Wang Daquan listened to it, he was also very excited. He really wanted whatever he wanted.

"Then I will wait for your good news at home tomorrow."

The second day of surgery started on time.

Tang Lou and Ma En entered the operating room first.

Chen Wenhao soon finished the anesthesia and stepped aside.

Ma En whispered to Tang Lou playfully: "Tang Lou, you have to cooperate with me for a while, Director Cheng and Doctor Qing will watch, but you must not lose the chain, otherwise you will finally get a chance to help. I don't know when the next time will be."

Tang Lou just smiled slightly and gave up his seat: "Each to each other. Dr. Ma please!"

Ma En sneered inwardly, and I'll see if you still smile after a while.

He walked to the position of the chief surgeon, and then Tang Lou naturally walked to the position of the assistant holding the mirror, and beside him was the equipment nurse.

After the three stood still, Ma En began to puncture the patient's abdomen. The selection of the three holes was naturally in line with Qingping.

After Ma En finished the puncture, Cheng Jian and Qing Ping were also long overdue.

Just at this moment, Tang Lou held up the laparoscope and began to assist.

"Director Cheng, it seems that we came just in time."

Qingping smiled slightly, then looked at Chen Wenhao who was at the side.

Chen Wenhao obediently handed over the bench under him, and then reluctantly brought over the spare stool.

"Director Cheng, Doctor Qing, sit down."

With a smile on his face, he stood aside in embarrassment in his heart: "What's wrong with this general surgery department, a small laparoscopic appendix operation, so many bosses have come here!"

Under the talent and concentration of Tang Lou, he naturally had no distractions, and started the routine abdominal exploration under the laparoscope. Naturally, Ma En would not come up and make trouble, so he was going to wait and see Tang Lou's operation first.

It's just that when he put his gaze on the monitor, he was taken aback for a moment. The picture was clear and stable, and the speed and angle of movement were his ideal angle of view when he was holding the mirror.

"This kid really has some skills."

Ma En's heart trembled, but his face did not change. He still looked at the camera. Under Tang Lou's operation, he quickly completed the inspection of the liver, gallbladder, stomach, duodenum, colon, and small intestine. Since the patient is a woman, the key points The uterus and appendages walk around in the pelvic cavity.

".There was no abnormality in the intraoperative exploration, and we began to look for the appendix."

Ma En was about to ask his own question, but for some reason, Tang Lou began to search for the appendix with a sentence, as if he was the chief surgeon and he was the assistant, and instinctively obeyed and concentrated on checking.

"???"

It took Ma En a while to recover, and he scolded himself inwardly. At this time, Tang Lou's camera path had passed through the colon, and the intestine was vertical, reaching the place where the three colons converged.

Ma En's mind was suddenly attracted, and then he looked at the clear and unusual picture, and suddenly froze: "Where's the appendix?"

Qing Ping and Cheng Jian on the side also looked at the screen, also a little surprised: "Where's the appendix?"

(End of this chapter)